The nurse is providing care for a 12-year-old child who was recently diagnosed with scoliosis. The child's parent asks about treatment options. What is the nurse's best response?

Correct Answer: B

Rationale: In this scenario, the best response for the nurse to provide to the parent of a 12-year-old child recently diagnosed with scoliosis is option B) Bracing is often recommended to prevent further curvature of the spine. The rationale behind this is that bracing is a common non-invasive treatment option for children with scoliosis, especially for those who are still growing. Bracing helps to prevent the progression of the spinal curvature and can be effective in managing the condition without the need for surgery in many cases. Option A) Scoliosis can be corrected with exercises and physical therapy is incorrect because while exercises and physical therapy can help improve posture and muscle strength, they are not typically sufficient to correct the curvature of the spine in scoliosis. Option C) Surgery is usually necessary for all cases of scoliosis is incorrect as surgery is not usually the first-line treatment for scoliosis, especially in children. Surgery is considered in severe cases or when other treatments have not been effective. Option D) There is no effective treatment for scoliosis is also incorrect as there are various treatment options available for scoliosis, including bracing, physical therapy, and in some cases, surgery. It is important for the nurse to provide accurate information to the parent to help them understand the available treatment options and make informed decisions regarding their child's care.

Correct Answer: B

Rationale: The best response for the nurse in this scenario is option B) Every child develops at their own pace. Let's discuss some strategies to help. This response is the most appropriate because it acknowledges the normal variability in child development and encourages a supportive and individualized approach to potty training. Option A is incorrect because it creates unnecessary worry for the parents by implying that their child should be potty trained by a certain age, which can increase parental stress and pressure on the child. Option C is also incorrect as suggesting immediate evaluation for developmental delays without further assessment or observation can cause undue alarm for the parents. It is important to approach developmental concerns with sensitivity and thorough assessment. Option D is not the best choice as forcing a child to use the potty can lead to negative associations with the process and may hinder successful potty training. It is essential to promote positive reinforcement and patience in potty training. In a pediatric nursing context, it is crucial to understand and communicate to parents that children reach developmental milestones at different rates. Providing support, guidance, and individualized strategies can help parents navigate challenges like potty training with a positive and informed approach.

Correct Answer: B

Rationale: In pediatric patients, digoxin administration is guided by the heart rate. If the child's heart rate is below the established threshold, which is typically 90-100 beats per minute in a 4-year-old, the medication should be withheld, and the healthcare provider should be notified for further evaluation and instructions.

Correct Answer: A

Rationale: In a 6-year-old child with asthma experiencing difficulty breathing and using accessory muscles to breathe with a peak flow reading in the red zone, the priority intervention is to administer a nebulized bronchodilator first. Nebulized bronchodilators help open the airways quickly, providing immediate relief and improving breathing. This intervention aims to address the acute respiratory distress the child is experiencing before considering other assessments or interventions such as obtaining arterial blood gases, starting oxygen therapy, or contacting the healthcare provider.

Correct Answer: B

Rationale: The correct answer is B. Airway clearance exercises are essential for individuals with cystic fibrosis to prevent mucus buildup in their lungs. It is crucial to perform these exercises regularly, even when feeling well, to maintain lung health and prevent complications. Therefore, the statement indicating that the exercises are not needed if feeling okay shows a misunderstanding and requires further teaching.